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MARTHA SUE JACKSON L.M.T. NPI 1386862605


NPI Information

NPI: 1386862605
Provider Name: MARTHA SUE JACKSON, L.M.T.
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
888 OAKWOOD RD
SUITE 220
CHARLESTON, WV
ZIP 25314
Phone: (304) 550-9724
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Martha Sue Jackson, L.M.T. is a specialist in Charleston, WV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Martha Sue Jackson, L.M.T. NPI is 1386862605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

888 OAKWOOD RD
SUITE 220
CHARLESTON, WV
ZIP 25314-000
Phone: (304) 550-9724

The enumeration date for this NPI number is 4/23/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist2003-1320WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.